Virginia Occupational Therapist
Licensure Exam Practice Questions And
Correct Answers (Verified Answers) Plus
Rationale 2026 Q&A| Instant Download
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1. Which professional organization administers the national certification
examination required for initial licensure as an occupational therapist
in Virginia?
A. American Occupational Therapy Association (AOTA)
B. Federation of State Boards of Physical Therapy (FSBPT)
C. National Board of Certification in Occupational Therapy (NBCOT)
D. National Council of State Boards of Nursing (NCSBN)
Answer: C
Rationale: Virginia requires applicants for occupational therapist licensure
to pass the NBCOT certification examination and meet any additional
NBCOT certification requirements before licensure can be granted.
2. The primary goal of occupational therapy intervention is to:
A. Diagnose medical diseases independently
B. Enhance participation in meaningful occupations and daily activities
,C. Prescribe medications for functional deficits
D. Perform surgical correction of impairments
Answer: B
Rationale: Occupational therapy focuses on enabling participation in
meaningful activities and occupations that support health, independence,
and quality of life.
3. Which domain is considered a basic activity of daily living (ADL)?
A. Managing finances
B. Grocery shopping
C. Dressing
D. Community mobility
Answer: C
Rationale: Dressing is a basic ADL because it is essential for personal self-
care. Activities such as shopping and financial management are
instrumental activities of daily living (IADLs).
4. A client with a traumatic brain injury demonstrates difficulty initiating
tasks despite adequate strength and sensation. This deficit is most
closely associated with:
A. Executive dysfunction
B. Peripheral neuropathy
C. Visual acuity loss
D. Muscle atrophy
Answer: A
Rationale: Executive dysfunction affects planning, initiation, organization,
and completion of goal-directed activities, which commonly occurs
following traumatic brain injury.
, 5. During evaluation, the occupational therapist gathers information
regarding a client's occupational history primarily to:
A. Determine medication dosages
B. Identify meaningful roles, interests, and participation patterns
C. Establish a psychiatric diagnosis
D. Replace standardized assessments
Answer: B
Rationale: Occupational history helps therapists understand the client's
values, roles, interests, and previous participation to develop client-
centered goals.
6. Which frame of reference emphasizes adaptation of tasks and
environments to maximize function despite persistent impairment?
A. Biomechanical
B. Rehabilitative
C. Psychodynamic
D. Developmental
Answer: B
Rationale: The rehabilitative frame of reference focuses on compensation,
adaptation, and environmental modification to support independence.
7. A therapist fabricates a resting hand splint for a client following tendon
repair. This intervention is primarily intended to:
A. Increase cardiovascular endurance
B. Protect healing tissues and maintain alignment
C. Improve auditory processing
D. Treat aphasia
Answer: B
, Rationale: Resting splints are frequently used to protect structures, prevent
deformity, and maintain proper positioning during healing.
8. Which cognitive level in Allen's Cognitive Disabilities Model typically
requires 24-hour supervision due to severe cognitive limitations?
A. Level 5
B. Level 4
C. Level 3
D. Level 2
Answer: D
Rationale: Individuals functioning at Allen Cognitive Level 2 generally
require extensive assistance and supervision because of significant
cognitive impairment.
9. The Occupational Therapy Practice Framework identifies occupations
as:
A. Only work-related activities
B. Activities that people need, want, and are expected to do
C. Exclusively self-care tasks
D. Medical procedures performed by therapists
Answer: B
Rationale: Occupations encompass meaningful activities individuals need,
want, or are expected to perform in daily life.
10. Which assessment is most appropriate for evaluating
independence in self-care and mobility following stroke?
A. Barthel Index
B. MMPI-2
Licensure Exam Practice Questions And
Correct Answers (Verified Answers) Plus
Rationale 2026 Q&A| Instant Download
1. Which professional organization administers the national certification
examination required for initial licensure as an occupational therapist
in Virginia?
A. American Occupational Therapy Association (AOTA)
B. Federation of State Boards of Physical Therapy (FSBPT)
C. National Board of Certification in Occupational Therapy (NBCOT)
D. National Council of State Boards of Nursing (NCSBN)
Answer: C
Rationale: Virginia requires applicants for occupational therapist licensure
to pass the NBCOT certification examination and meet any additional
NBCOT certification requirements before licensure can be granted.
2. The primary goal of occupational therapy intervention is to:
A. Diagnose medical diseases independently
B. Enhance participation in meaningful occupations and daily activities
,C. Prescribe medications for functional deficits
D. Perform surgical correction of impairments
Answer: B
Rationale: Occupational therapy focuses on enabling participation in
meaningful activities and occupations that support health, independence,
and quality of life.
3. Which domain is considered a basic activity of daily living (ADL)?
A. Managing finances
B. Grocery shopping
C. Dressing
D. Community mobility
Answer: C
Rationale: Dressing is a basic ADL because it is essential for personal self-
care. Activities such as shopping and financial management are
instrumental activities of daily living (IADLs).
4. A client with a traumatic brain injury demonstrates difficulty initiating
tasks despite adequate strength and sensation. This deficit is most
closely associated with:
A. Executive dysfunction
B. Peripheral neuropathy
C. Visual acuity loss
D. Muscle atrophy
Answer: A
Rationale: Executive dysfunction affects planning, initiation, organization,
and completion of goal-directed activities, which commonly occurs
following traumatic brain injury.
, 5. During evaluation, the occupational therapist gathers information
regarding a client's occupational history primarily to:
A. Determine medication dosages
B. Identify meaningful roles, interests, and participation patterns
C. Establish a psychiatric diagnosis
D. Replace standardized assessments
Answer: B
Rationale: Occupational history helps therapists understand the client's
values, roles, interests, and previous participation to develop client-
centered goals.
6. Which frame of reference emphasizes adaptation of tasks and
environments to maximize function despite persistent impairment?
A. Biomechanical
B. Rehabilitative
C. Psychodynamic
D. Developmental
Answer: B
Rationale: The rehabilitative frame of reference focuses on compensation,
adaptation, and environmental modification to support independence.
7. A therapist fabricates a resting hand splint for a client following tendon
repair. This intervention is primarily intended to:
A. Increase cardiovascular endurance
B. Protect healing tissues and maintain alignment
C. Improve auditory processing
D. Treat aphasia
Answer: B
, Rationale: Resting splints are frequently used to protect structures, prevent
deformity, and maintain proper positioning during healing.
8. Which cognitive level in Allen's Cognitive Disabilities Model typically
requires 24-hour supervision due to severe cognitive limitations?
A. Level 5
B. Level 4
C. Level 3
D. Level 2
Answer: D
Rationale: Individuals functioning at Allen Cognitive Level 2 generally
require extensive assistance and supervision because of significant
cognitive impairment.
9. The Occupational Therapy Practice Framework identifies occupations
as:
A. Only work-related activities
B. Activities that people need, want, and are expected to do
C. Exclusively self-care tasks
D. Medical procedures performed by therapists
Answer: B
Rationale: Occupations encompass meaningful activities individuals need,
want, or are expected to perform in daily life.
10. Which assessment is most appropriate for evaluating
independence in self-care and mobility following stroke?
A. Barthel Index
B. MMPI-2
